Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,033.33 / $7,123.00	Facility		$1,159.00	$3,033.33	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,503.34 / $1,907.47 / $3,221.51	Professional		$1,503.34	$1,907.47	$3,221.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,708.25 / $17,138.29 / $39,868.78	Facility		$7,708.25	$17,138.29	$39,868.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,991.34 / $2,870.81 / $3,094.87	Professional		$1,991.34	$2,870.81	$3,094.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,759.37 / $2,376.53 / $3,462.78	Professional		$1,759.37	$2,376.53	$3,462.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,759.37 / $2,799.00 / $7,752.84	Professional		$1,759.37	$2,799.00	$7,752.84
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,987.62 / $2,079.26 / $2,288.51	Professional		$1,987.62	$2,079.26	$2,288.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,640.59	Professional		$32.34	$32.34	$2,640.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,747.59 / $2,484.53 / $3,881.33	Professional		$1,747.59	$2,484.53	$3,881.33